A taxonomy of medical comorbidity for veterans who are homeless
A taxonomy of medical comorbidity for veterans who are homeless
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DOI：
10.1353/hpu.0.0040
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发表时间：
2008-08-01
影响因子：
1.4
通讯作者：
Gordon, Adam J.
中科院分区：
文献类型：
--
作者：
Goldstein, Gerald;Luther, James F.;Gordon, Adam J.
无家可归的退伍军人有许多医疗和行为健康问题。根据合并症模式确定无家可归者可能有助于更有效地确定疾病的严重程度和分类医疗保健。我们试图确定是否可以确定有限数量的配置文件与人口特征，生活状况，无家可归的时间长度，以及使用2，733名目前或最近无家可归的退伍军人的访谈数据的转诊区域。我们考虑了12种疾病：眼部问题、高血压、心血管问题、COPD/肺气肿、结核、胃肠道问题、肝病、神经系统疾病、骨科问题、皮肤问题和创伤。使用聚类分析评估评级。比较统计被用来比较人口统计学，无家可归的情况，转诊建议的集群间差异。提出了四类解决方案：全身性疾病，肝脏疾病，肺部疾病和神经系统疾病。无家可归者的医疗健康问题很常见，而且各不相同。这些问题的分类可能有助于计划治疗和预测结果。
Homeless veterans have numerous medical and behavioral health problems. Grouping homeless people based on comorbidity patterns may assist in determining severity of illness and triaging health care more effectively. We sought to determine if a finite number of profiles could be identified related to demographic characteristics, living situation, length of homelessness, and referral areas using interview data from 2,733 veterans who were presently or recently homeless. We considered 12 disorders: eye problems, hypertension, cardiovascular problems, COPD/emphysema, tuberculosis, gastrointestinal problems, hepatic disease, neurologic disorders, orthopedic problems, skin problems, and trauma. Ratings were evaluated using cluster analysis. Comparison statistics were used to compare intercluster differences in demographics, homeless situation, and referral recommendations. A four-cluster solution is proposed: generalized illness, hepatic disease, lung disease, and neurologic disorder. Medical health problems are common and heterogeneous in homeless individuals. Classifications of these problems may be useful in planning treatment and predicting outcome.